Individual ProviderLeah Reva BeckerDentistDental ProvidersPractice Address2220 S Huron Pkwy, Ann Arbor, MI 48104-5151(734) 761-2629PECOS EnrollmentBased on the most recent information from CMS, provider Leah Reva Becker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1487496386Provider TypeIndividualFull NameBecker, Leah RevaCredentialDMDGenderFemaleSole ProprietorNoEnumeration Date6/11/2024Last Updated6/11/2024Contact InformationPractice LocationPractice Address2220 S Huron Pkwy, Ann Arbor, MI 48104-5151Phone(734) 761-2629FaxUnlisted FaxMailing LocationMailing Address2220 S Huron Pkwy, Ann Arbor, MI 48104-5151Phone(734) 761-2629FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense2901602027Michigan